# DOVER ORAL AND MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619102811
- **Authorized official:** DR. FRANKLIN XAVIER PANCKO JR. DDS (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (443) 939-0942

## Contact information

- **Practice address:** 712 S GOVERNORS AVE, DOVER, DE 19904-4106
- **Practice address phone:** (302) 674-1140
- **Mailing address:** 3450 WAYNE AVE APT 28M, BRONX, NY 10467-2554
- **Mailing address phone:** (443) 939-0942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | G1-0001269 | DE | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 05/18/2009